Ilaris (ACZ885, canakinumab) 2013 PR & Communications Plan 20 September 2012 This document represents proposals for discussion by Management. Strategies / Concepts / Projects described herein may need significant modifications before implementation, and no project should be considered final until it has been fully approved by the appropriate Novartis review process. Novartis will only implement programs that are fully consistent with all applicable laws and regulations as well as Novartis companies’ policies. The sales estimates described in this document are based on the impact of Marketing Activities. Who is with you here today Rute Frazao Marques Sarah Cornhill Deborah Burrage Helene Ellison Global Head, Franchise Communications IHC XXXX Director, B-M (NY) XXXX Manager, B-M (London) Senior strategist Global Chair, B-M (NY) CONFIDENTIAL. Novartis business use only. 2 Today’s agenda 2013 PR strategy built on five Ilaris PR strategic imperatives Our strategic and creative vision to drive the Ilaris value story • Our vision for the future • Critical steps to take in 2013 • Ilaris programming Orchestration for success CONFIDENTIAL. Novartis business use only. 3 Ilaris to 2014 and beyond: ensuring success through multiple launches 2012 QUESTIONS ADDRESSED 2013 (SJIA+GA) ENSURE SUCCESSFUL LAUNCHES & UPTAKE; (AI) UNDERSTAND MARKET 4 CONFIDENTIAL. Novartis business use only. >2014 (SJIA+GA) ENSURE CONTINUED GROWTH; (AI) ENSURE SUCCESSFUL LAUNCHES & UPTAKE Our charge… :: Highlight Ilaris value proposition, emphasizing unmet need and establishing Novartis leadership in drug discovery for an innovative, targeted approach to treating inflammatory conditions CONFIDENTIAL. Novartis business use only. 5 Your strategic imperatives adapted for PR SI5 SI4 SI3 SI2 SI1 Ensure market preparedness for upcoming launches Continue to identify, up-skill and harness Ilaris product and disease champions (internal and external) Expand scientific and community understanding of Ilaris efficacy and safety Ensure understanding of IL-1B as key driver of inflammatory conditions, linked to Novartis laser-focus on science Emphasize unmet needs of target patient populations to reconfirm Ilaris unique value proposition CONFIDENTIAL. Novartis business use only. 6 OUR INSIGHTS CONFIDENTIAL. Novartis business use only. 7 The Ilaris 2012 media focus has been data-driven and positive Coverage breakdown (ACR 2011, PReS 2011 and EULAR 2012) Type of publications (ACR 2011, PReS 2011 and EULAR 2012) Press release 119 Tone of ACZ885 mentions (ACR 2011, PReS 2011, EULAR 2012) 18 Original news articles 110 425 Pickup of orginal news articles Newswires 18 Medical trade 4 Positive ACZ885 mentions 26 Dailies/consumer 26 37 9 Neutral ACZ885 mentions Business trade Web publications 126 Positive ACZ885 mentions Ilaris media coverage focused on SJIA and TRAPS data announcements highlighted at EULAR, PReS and ACR over the past year CONFIDENTIAL. Novartis business use only. 8 However, Ilaris safety questions around gouty arthritis attracted media attention in 2011 Type of coverage 14 12 Newswires Medical trade Dailies / Consumer 6 8 0 23 Business trade Blogs Web publications Range of articles, majority US, covered the FDA Ad Comm 55% of original articles discussed efficacy of ACZ885 in a positive light 80% of original articles discussed safety of ACZ885 in a negative light CONFIDENTIAL. Novartis business use only. 9 The media profiles of Ilaris indications/investigative indications are variable Total articles mentioning disease area GA/gout 5817 CAPS 222 FMF 198 SJIA 157 TRAPS 45 Source, Factiva search 12 months up to 18 Sept 2012 Despite advocacy group and pharma efforts, media coverage of individual rare diseases remains low CONFIDENTIAL. Novartis business use only. 10 In our focus area for 2012, Novartis drove coverage CAPS Gout and gouty arthritis Need to raise profile in GA SJIA Source, Factiva search 12 months up to 18 Sept 2012 CONFIDENTIAL. Novartis business use only. 11 Digital/social media driven by patient advocacy groups and pharma companies Caregivers are more active on social media than patients • Rareconnect.org, CAPs Family Network Physicians use for self education and interaction is limited “Society could do more to help in early diagnosis/recognition for those patients who live far away from specialist centers” KOL “Patients and parents are always looking for information…education for patients is very important” – Italian KOL CONFIDENTIAL. Novartis business use only. 12 Key takeaways: issues and opportunities Issues Novartis must drive the value proposition and unmet needs in rare diseases to support launches & investigational development Varied engagement and experience in Ilaris due to local access issues History of negative safety reporting (FDA Ad comm/ misunderstanding of research strategy) Patient population dictated by regulatory & reimbursement Audiences unsure of target population Rare diseases often of lower priority for media coverage SJIA/GA data gap in 2013 Opportunities Potential first-in-class EU launch for GA patients in great need, currently without treatment options Media interest in gout already high ACZ885 will be the first IL-1 beta medication in SJIA, providing hope for unresponsive patients/potential improved safety Stage set by positive data coverage Social media use by patients and HCPs currently limited, offering opportunities to own the space PII AI data at 2013 congresses CAPS label extensions/new approvals CONFIDENTIAL. Novartis business use only. 13 Our strategic vision Maximize success of launches in 2013 and beyond by communicating a simple story: No matter how rare, Ilaris goes wherever the science and need leads CONFIDENTIAL. Novartis business use only. 14 Key 2013 PR objectives SI S2 S3 Emphasize unmet needs of target patient populations to reconfirm Ilaris unique value proposition Characterise GA indication patient group in the minds of payers and rheumatologists, emphasizing low numbers with exceptional pain-relief needs Raise awareness that children with SJIA urgently need new treatment options despite approved biologic Ensure preparedness to drive future disease awareness in PII indications Ensure understanding of IL-1B as key driver of inflammatory conditions, linked to Novartis laser-focus on science Characterize and communicate the role of IL-1B in target indications through data and regulatory announcements Harness Novartis in-house science and research story to communicate company’s ethical approach to medicine, exemplifying Ilaris Expand scientific and community understanding of Ilaris efficacy and safety Educate on Ilaris gold standard approach, with unique patient benefits (Bconfident registry, several years of real-life patient experience, breadth of clinical investigators with product experience) Package material in ways that can be easily used by CPOs for their own local needs CONFIDENTIAL. Novartis business use only. 15 Key 2013 PR objectives S4 S5 Continue to identify, up-skill and harness Ilaris product and disease champions (internal and external) Support and motivate CPOs and investigators to continue Ilaris story locally (internal and external) Where appropriate, begin to identify and up-skill thought leaders in PII indications (incl. periodic fever syndromes) Ensure market preparedness for upcoming launches Identify, prepare and roll-out communications surrounding GA and SJIA approvals (incl. scenarios, etc.) Work with CPOs to ensure timely, on-target materials and support that meet local needs CONFIDENTIAL. Novartis business use only. 16 Target audiences Key audiences for 2013: Media (top tier, key rheumatology trade) Internal audiences (CPOs) Rheumatologists Patients/Caregivers/Advocacy groups Payers Financial community CONFIDENTIAL. Novartis business use only. 17 Key messages confirm leadership position Update complementary messages for Ilaris individual disease areas Underlying disease burden Critical need for new treatment options, as many patients continue to suffer Ilaris Targeting IL-1 beta, a key driver of several inflammatory conditions Novartis Focused on patient and science to deliver better drugs where unmet needs are greatest CONFIDENTIAL. Novartis business use only. 18 ILARIS PROGRAMMING CONFIDENTIAL. Novartis business use only. 19